User Name
Reference Type
Account Number
Premise ID
Meter Number
Reference No
Mobile Phone
Email
Purpose
New account Activation (Tawtheeq)
Clearance Request
Bill Complaint
Eservice Complaint e.g. payment/technical
Meter Test Request
Other
Attachments
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(Upto 3 attachments)
Maximum file size allowed is 2MB.
Attachments
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